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NBME Free 120 Exam Practice Questions and Answers

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NBME Free 120 Exam Practice Questions and Answers A 28-year-old man comes to the physician because of a 1-year history of pain with urination that has increased in severity during the past month. He also has had episodes of blood in his urine during the past 5 years. He lived in sub-Saharan Af...

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024

NBME Free 120 Exam Practice Questions and
Answers

A 28-year-old man comes to the physician because of a 1-year history of pain with urination that has

increased in severity

during the past month. He also has had episodes of blood in his urine during the past 5 years. He lived in

sub-Saharan Africa

until he came to the USA 6 months ago for graduate school. His temperature is 38°C (100.4°F), pulse is

80/min, respirations

are 16/min, and blood pressure is 110/84 mm Hg. Physical examination shows suprapubic tenderness.

Imaging studies show bilateral hydroureter and hydronephrosis and foci of calcification in the region of

the bladder. A biopsy specimen of the bladder shows marked chronic inflammation with fibrosis and

scattered granulomas. Which of the following

best explains the biopsy findings? - Ans:✔✔-Schistosomiasis

A 14-year-old boy is brought to the emergency department after being hit with a baseball bat on the

lateral side of his leg

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024

immediately below the knee. He is unable to dorsiflex his foot. Which of the following nerves is most

likely injured? - Ans:✔✔-Common fibular (peroneal)

A 24-year-old man comes to the office because of a 2-day history of a red, itchy rash on his buttocks and

legs. Four days ago,

he returned from a cruise to the Caribbean, during which he swam in the ship's pool and used the hot

tub. He appears well.

His vital signs are within normal limits. Physical examination shows the findings in the photograph. The

infectious agent

causing these findings most likely began to proliferate in which of the following locations? - Ans:✔✔-Hot

tub folliculitis

Invades the hair follicle

A 14-year-old girl is brought to the physician after her mother learned that she began having sexual

intercourse with various

partners 1 month ago. She does not use condoms or other contraception. The mother is concerned

about her behavior. The

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024

patient's parents separated 3 months ago. She had been an honor student and excelled in sports and

leadership positions at

school before the separation. Since the separation, however, she has become sullen, defiant, and

rebellious. She has begun

smoking cigarettes, disobeying her curfew, and being truant from school. This patient is most likely using

which of the following defense mechanisms? - Ans:✔✔-Acting out

A 24-year-old woman comes to the physician for a follow-up examination. One week ago, she was

treated in the emergency

department after she accidentally spilled hot grease on her left leg while working at a fast-food

restaurant. Examination of the

left lower extremity shows a 7-cm, pink, soft, granular, edematous wound. The formation of this tissue

was most likely

caused by increased activity of which of the following? - Ans:✔✔-Granulation tissue--> VEGF and FGF

A 63-year-old woman comes to the physician 1 day after the sudden onset of pain and swelling of her

right knee. She has had

no injury. Her medications include occasional ibuprofen for mild osteoarthritis of both knees. Her

temperature is 37°C (98.6°F), pulse is 97/min, respirations are 19/min, and blood pressure is 129/79 mm

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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024

Hg. Examination of the right knee shows warmth, erythema, and effusion. Exquisite tenderness is

produced with minimal range-of-motion testing. Examination

of synovial fluid obtained via joint aspiration shows that it is clear, with positively birefringent rhomboids

observed under

polarized light microscopy. Deposition of which of the following substances is the most likely cause of

these findings? - Ans:✔✔-Pseudogout--> calcium pyrophosphate crystals

A 55-year-old woman with small cell carcinoma of the lung is admitted to the hospital to undergo

chemotherapy. Six days

after treatment is started, she develops a temperature of 38°C (100.4°F). Physical examination shows no

other abnormalities.

Laboratory studies show a leukocyte count of 100/mm3 (5% segmented neutrophils and 95%

lymphocytes). Which of the

following is the most appropriate pharmacotherapy to increase this patient's leukocyte count? -

Ans:✔✔-Filgrastim

A 37-year-old woman with right lower extremity edema is evaluated because of the sudden onset of

shortness of breath and

pleuritic chest pain. A diagnosis of pulmonary embolism is made. Which of the following signs, if present

on physical
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